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Tooth Replacement: Maryland Bridges





Understanding Maryland Bridges


Dr. Jacquie understands that missing your teeth can be a source of discomfort and embarrassment, leading you to explore alternative solutions to a gap in your smile.


We've written other articles about the marketing around "dental implants" and in fact it's the most searched dental term on Google. Every company pushing hard to sell you dental implants, because they make a large profit.


Dental implants can be a great option, but the reality is that dental implants are more expensive, take months to deliver and come with surgery that not all patients feel comfortable with.


Although dental implants are a great permanent option, Maryland bridges are good temporary option for patients saving up for dental implants, Maryland bridges can be a temporary solution while undergoing implant surgery or an alternative for patients with dental anxiety of shots and dental drilling.


Maryland bridges are good temporary option for patients saving up for dental implants


What Are Maryland Bridges?


Maryland bridges are a type of dental prosthetic used to replace one or more missing teeth. They consist of a false tooth (pontic) held in place by a metal or porcelain framework bonded to the back of the adjacent teeth.


This design contrasts with traditional bridges, which require crowns on the neighboring teeth, and dental implants, which involve surgically inserting a titanium post into the jawbone.


Basically, a Maryland bridge is semi-permanent fake tooth. If you have good teeth directly next to your missing tooth, then the doctor may avoid damaging your healthy teeth. Instead a Maryland bridge may be better for you.


Patient Interview


Patient:


I've had both dental flippers and dental implants before. The dental flipper always "popped out" when I was talking or out in public. Sometimes, I would play with it and rub my tongue on it and it would cut my tongue. I really couldn't stand having something loose moving around in my mouth.


Doctor Sanders:


You've had dental implants before, tell me more about that experience?


Patient:


The dental implant required a bone graft. Which meant I needed additional surgery and I had to wait around 6 months until everything healed and the implant could be placed. It cost me around $5000 and after all of that then the implant eventually failed.


Eventually, the implant got infected and the implants are very hard to completely clean of bacteria and infection, so they recommended I removed it. This required a third surgery and was honestly pretty traumatic.


I really enjoyed having the implant, because it was very sturdy and strong and gave me a great smile but looking back after it failed makes me not want another one. I'm looking for something that is more stable than a flipper that doesn't need much surgery at a better price point.


Doctor Sanders:


Traditional Bridges: if both teeth on each side need a crown then it's more stable to connect the bridge on each tooth. In this way, the two supporting teeth act like support beams for your bridge. But this requires placing crowns, cutting away tooth structure and shots.


With a Maryland bridge, if the teeth are healthy on each side, then we don't want to cause irreversible changes to healthy teeth. In your case, you have healthy strong tooth on one side, so we can anchor the bridge to the healthy tooth and bond the bridge to the healthy tooth.


You'll want to clean it often and be prepared that the "glue" may weaken over time and the bridge may debond, then you'll just need to come in so that we can bond it back in place for you.





Pros of Maryland Bridges


  1. A good temporary option for patients saving up for dental implants

  2. A good temporary solution while undergoing implant surgery

  3. Alternative for patients with dental anxiety of shots and dental drilling

  4. Lower Cost Than Implants: One of the primary advantages of Maryland bridges is their affordability. They generally cost less than dental implants, making them an attractive option for those on a budget

  5. Faster Delivery Time: The process of getting a Maryland bridge is quicker than that of dental implants. Patients can typically complete the entire process within a few weeks, from consultation to fitting.


Cons of Maryland Bridges


  1. Strength and Durability: While Maryland bridges are effective for many patients, they may not be as strong or durable as dental implants. The adhesive bond can weaken over time, leading to potential detachment.

  2. Need for Re-bonding: It's not uncommon for Maryland bridges to need rebonding over time. Patients should be prepared for occasional maintenance visits to ensure their bridge remains secure.

  3. Oral Hygiene Requirements: Maintaining excellent oral hygiene is crucial for the longevity of a Maryland bridge. Patients may need to improve their flossing techniques and be vigilant about regular dental check-ups to prevent plaque buildup and decay around the bonded teeth.


Comparing Maryland Bridges to Traditional Bridges and Implants


  • Traditional Bridges: Traditional bridges involve placing crowns on the adjacent teeth to support the pontic. While this method is robust, it requires significant tooth alteration and may not be suitable for patients with weakened teeth.

  • Dental Implants: Implants are considered the gold standard for tooth replacement due to their durability and natural feel. However, they come with higher costs and require invasive surgery, which may not be suitable for everyone.


Expert Insight: Dr. Jacqueline Sanders


Dr. Jacqueline Sanders, an expert in cosmetic dentistry, has extensive experience in helping patients restore their smiles with Maryland bridges. She emphasizes the importance of choosing the right treatment based on individual needs and circumstances. Dr. Sanders understands the discomfort and self-consciousness that can accompany missing teeth and is dedicated to providing solutions that enhance both function and aesthetics.


Addressing Concerns About Cost and Comfort


For many patients, the cost of dental implants can be prohibitive. Maryland bridges offer a more affordable alternative without compromising on effectiveness. The cost of a Maryland bridge typically ranges from $1,000 to $2,500 per unit, while dental implants can cost between $3,000 and $5,000 per tooth. However, prices vary based on the complexity of the case and the specific needs of the patient.


Patients should also check with their insurance providers, as some plans may cover the cost of a Maryland bridge. This financial support can make the procedure more accessible for those concerned about affordability.


Conclusion


Maryland bridges present a viable, cost-effective option for replacing missing teeth, particularly for those seeking a less invasive solution.


While they may require some maintenance and better oral hygiene, their benefits make them a popular choice among dental patients


Consulting with a cosmetic dentistry expert like Dr. Jacqueline Sanders can help you determine if a Maryland bridge is the right choice for you, allowing you to regain confidence and smile with ease.




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